Individual provider · Type 1 NPI

Justin D. Buchanan, AGS, CADC-II, QMHA

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1639826266 Active

Practice location

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770

Fax (503) 771-2436

Mailing address

10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-01-20521 (OR)
Counselor 101Y00000X25-QMHA-R-7810 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639826266

Justin D. Buchanan, AGS, CADC-II, QMHA's National Provider Identifier is 1639826266, issued on Mar 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Oct 29, 2026.